Edward Health Ventures | |
3033 Ogden Ave Ste 101 Lisle IL 60532-1673 | |
(630) 646-6200 | |
(630) 428-4188 |
Full Name | Edward Health Ventures |
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Speciality | Internal Medicine |
Location | 3033 Ogden Ave, Lisle, Illinois |
Authorized Official Name and Position | Bill Kottman (PRESIDENT) |
Authorized Official Contact | 6306463950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Edward Health Ventures 27555 Diehl Rd Entrance B Warrenville IL 60555-3849 Ph: (630) 646-3950 | Edward Health Ventures 3033 Ogden Ave Ste 101 Lisle IL 60532-1673 Ph: (630) 646-6200 |
NPI Number | 1962782052 |
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Provider Enumeration Date | 08/22/2011 |
Last Update Date | 09/09/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962782052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Illinois) | Primary |
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